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> Good points. I know a very senior member of the specialty who > told someone > with MRCSEd(A&E) who was enquiring about an SpR post that > he/she didn't rate > the exam as much as FRCS or MRCP. The reason given was that > to get the A&E > exam, it's never necessary to work as more than a junior SHO in any > specialty, whereas the acquisition of one of the other exams > implies that > registrar level has been reached in a specialty and therefore > the doctor has > experienced working at more senior level of competence and > responsibility. Times have changed. Nowadays you can't get a registrar job in most specialties until after the exam (in the case of surgeons, often a couple of years after). I agree that working at a more senior level prior to SpR training is of benefit. However, neither MRCS/ FRCS or MRCP is any guarantee of having worked as anything other than a first year SHO in any specialty- that can be found out more profitably from the CV than from the exam. Matt Dunn